Start as an Emergency Physician

Really...... There was a problem with the arterial sharing network between Xiaoyu and Xiaowen, and the blood entered the other's vascular channels.

Now, Zhou Yuan is in a dilemma, and rashly cutting off these connections may lead to lack of nutrients and oxygen in the brains of both parties, leading to a stroke.

And a stroke at this time will almost bring lifelong trauma to the two children!

Zhou Yuan thought for half a second, and immediately said, "The operation begins!"

The atmosphere in the operating room was even more tense, and everyone's faces were extremely solemn!

"Director Xiao and Lu Chenxi and I separated the twins' arteries and shared the network! The plastic surgeon immediately measured the twin skulls and reconstructed the skulls to ensure that both girls had complete skulls after surgery!"

Zhou Yuan's face became grim.

According to current medical statistics, the probability of the occurrence of conjoined babies with conjoined heads is one in every 2.5 million newborns, and most conjoined babies with conjoined heads do not live more than 24 hours.

A small percentage of conjoined children who can live more than 24 hours will have a mortality rate of more than 80 percent at about two years of age.

It's rare for a conjoined child like this to live up to 19 months.

Moreover, since the first pair of twins with heads attached to the head appeared in 1952, there have only been 60 recorded similar surgeries in the world, in other words, each pair of conjoined children is unique, and each operation is a battle against death.

This shows how great the risk of separating the conjoined children with their heads connected is huge, and if there is a mistake, both children may die during the operation.

Zhou Yuan took a deep breath, cleared the distractions in his head, and then manipulated the microscope to look at the two patients.

The microscope can almost be called the most advantageous weapon for the skull separation surgery of conjoined children, which can observe the microscopic structures such as blood vessels and nerves of twins and provide a good separation field.

"Vascular clamps. "

Zhou Yuan's eyes looked at the blood vessels in the microscope and stretched out a hand.

The instrument nurse immediately handed over the vascular clamp.

Zhou Yuan carefully clamped Xiao Yu's cerebral artery, temporarily blocking the transportation of blood flow.

Now, there are many shared arteries and veins in the parts of Xiaoyu's brain that are connected, and if you want to separate them, the only way is to block the blood flow, cut off these connected arteries and veins, and then manually assign them to anastomosis.

In short, the wrong blood vessel is cut off and put back on the correct owner, and the blood supply is restored.

Zhou Yuan carefully manipulated the scalpel to separate the blocked blood vessels. Every time the connection is severed, there is a risk of brain damage and stroke.

So much so that every time Zhou Yuan completed the cut, he would breathe a sigh of relief, and then hang the courage to cut another place.

"Physical condition. Zhou Yuan cut a shared artery again, asked the nurse to wipe her sweat, and asked.

The anesthesiologist looked solemn and said, "One patient has high blood pressure, and the other has low blood pressure!"

Zhou Yuan nodded.

From the beginning of the hemoperfusion, Zhou Yuan guessed that such a situation would occur.

There is also one of the skull separation surgeries for conjoined children, which is for anesthesiologists.

Because the conjoined are two people, and... Both of them have the same blood vessels and are treated separately.

Therefore, the anesthesiologist must control the medication level and find the right point for both patients.

Fortunately, the director of the Department of Anesthesiology at the team's Anesthesiology Jing International Hospital is very experienced in anesthesia.

After a few hours, all the shared arteries were severed.

The arterial connection between the twins was also completely broken.

At the same time, plastic surgeons are also preparing to reconstruct a new skull according to the proportion of the twins' heads and so on, and provide it for the two people after separation.

This is also a huge challenge for the plastic surgeon, because the twins are only 19 months old and are in the prime of growth, so it is important to ensure that the new head is large enough and has some resilience to resist the stress of the growth activities of the two.

This is also the reason why Zhou Yuan didn't use the chief physician from the magic capital.

This operation requires not only individual skills, but also team cooperation!

Every member, from the chief surgeon to the first assistant, the second assistant, to the anesthesiologist and instrument nurse, everyone is linked to each other!

Once a person makes a mistake, there is a chance that the operation will fail!

Zhou Yuan chose to believe in his team. Since it was able to complete the first time, this time the skull separation, Zhou Yuan's team was also able to complete it excellently and finish perfectly!

"Started with shared vein splitting. Zhou Yuan's voice sounded again after a brief silence.

This step is equally sinister.

Because it is a cerebral blood vessel, as with a separate artery, every severing of the connection carries a risk of brain damage.

Zhou Yuan slowly cut open a meridian that had been clamped, and then, the scalpel floated above, waiting quietly.

Five minutes later, Xiao Yu and Xiao Wen's vital signs still did not change drastically, and Zhou Yuan slowly breathed a sigh of relief: "It didn't cause a stroke." "

The danger passed again, and Zhou Yuan clamped another vein and began to make another cut.

Time flies in the operating room, and the shared vein division surgery is being carried out in constant cutting and waiting.

However, this time it didn't go well.

Zhou Yuan found that Xiao Yu's brain blood supply was getting less and less, and on the contrary, Xiao Wen's brain blood vessels were full of blood and swelled again.

The phenomenon of blood mixed flow that had been temporarily suppressed before happened again! Xiao Yu's blood penetrated into Xiao Wen's head again.

"What's going on!" Zhou Yuan immediately stopped his movements and began to check.

The hearts of Xiao Xuebo and the others suddenly hung up.

The anesthesiologist began to call the police: "There is another blood pressure imbalance! Two patients, one blood pressure began to rise, and the other twin's blood pressure continued to drop!"

The instrument nurse also panicked and hurriedly said, "The heart rate of the patient on the left side has dropped sharply!"

On the left is a small text.

At this time, Xiaowen received too much blood in his body, and his heart was already a little unable to hold on.

On the other hand, Xiao Yu on the other side began to have a series of changes caused by blood loss!

"Xiao Yu began to have hemorrhagic shock!Do you need a blood transfusion!" Lu Chenxi said with a pale face.

Zhou Yuan's face became heavy.

"No blood transfusions!"

Once the blood is transfused, it may be able to temporarily alleviate Xiaoyu's symptoms, but what about Xiaowen on the other side?

His body is receiving Xiao Yu's blood, and once the blood transfusion is carried out again, a large amount of blood will directly make Xiao Wen die on the operating table!

But without blood transfusion, Xiaoyu will die on the operating table again!

In an instant, everyone realized the seriousness of the problem.

The operating room was quiet all of a sudden, and all eyes were glued to the screen of the instrument, staring at vital signs such as pulmonary artery pressure, systemic pressure, and blood pressure.

Beep beep beep.

The sound of the heart monitor kept ringing, and it was the only sound in the operating room.

"Zhou Yuan, what should I do..."

Everyone's eyes stayed on the chief knife Zhou Yuan. _

Feilu reminds you: there are three things to read - collection, recommendation, and points